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Noninvasive continuous optical monitoring of absolute cerebral blood flow in critically ill adults
Neurophotonics
  • Lian He, University of Pennsylvania
  • Wesley B. Baker, University of Pennsylvania
  • Daniel Milej, Western University
  • Venkaiah C. Kavuri, University of Pennsylvania
  • Rickson C. Mesquita, Universidade Estadual de Campinas
  • David R. Busch, UT Southwestern Medical School
  • Kenneth Abramson, University of Pennsylvania
  • Jane Y. Jiang, University of Pennsylvania
  • Mamadou Diop, Western University
  • Keith St Lawrence, Western University
  • Olivia Amendolia, Universidade Estadual de Campinas
  • Francis Quattrone, Universidade Estadual de Campinas
  • Ramani Balu, University of Pennsylvania Perelman School of Medicine
  • W. Andrew Kofke, University of Pennsylvania Perelman School of Medicine
  • Arjun G. Yodha, University of Pennsylvania Perelman School of Medicine
Document Type
Article
Publication Date
10-1-2018
URL with Digital Object Identifier
10.1117/1.NPh.5.4.045006
Abstract

© The Authors. Published by SPIE under a Creative Commons Attribution 3.0 Unported License 2017. We investigate a scheme for noninvasive continuous monitoring of absolute cerebral blood flow (CBF) in adult human patients based on a combination of time-resolved dynamic contrast-enhanced near-infrared spectroscopy (DCE-NIRS) and diffuse correlation spectroscopy (DCS) with semi-infinite head model of photon propogation. Continuous CBF is obtained via calibration of the DCS blood flow index (BFI) with absolute CBF obtained by intermittent intravenous injections of the optical contrast agent indocyanine green. A calibration coefficient (?) for the CBF is thus determined, permitting conversion of DCS BFI to absolute blood flow units at all other times. A study of patients with acute brain injury (N 7) is carried out to ascertain the stability of ?. The patientaveraged DCS calibration coefficient across multiple monitoring days and multiple patients was determined, and good agreement between the two calibration coefficients measured at different times during single monitoring days was found. The patient-averaged calibration coefficient of 1.24 × 109 omL/100 g/ min/ocm2/sp was applied to previously measured DCS BFI from similar brain-injured patients; in this case, absolute CBF was underestimated compared with XeCT, an effect we show is primarily due to use of semi-infinite homogeneous models of the head.

Citation Information
Lian He, Wesley B. Baker, Daniel Milej, Venkaiah C. Kavuri, et al.. "Noninvasive continuous optical monitoring of absolute cerebral blood flow in critically ill adults" Neurophotonics (2018)
Available at: http://works.bepress.com/keith-stlawrence/31/